An agreement for facials and skincare treatments — health/skin disclosure, patch test policy, and cancellation terms.
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Free general-purpose template, not legal advice. Fill in the placeholders and consider having a lawyer review it before you rely on it.
This Esthetician & Skincare Services Agreement ("Agreement") is entered into as of [Effective Date] between [Esthetician/Business Name] ("Provider") and [Client Name] ("Client").
Provider will provide [Description of Services — e.g. facials, peels, extractions] at [Location], for [Duration] per session.
Client confirms they have disclosed relevant skin conditions, allergies, medications (including retinoids/accutane use), and pregnancy status in [Attachment — Intake Form]. Provider may decline or modify treatment for Client’s safety.
[If applicable: For new products or treatments, Provider may require a patch test at least [Number] hours before the full treatment.]
Client agrees to pay [Rate] per session, due at the time of service, unless a package is purchased: [Package Terms, if applicable].
Appointments cancelled with less than [Number] hours’ notice, or missed without notice, are charged [Percentage]% of the session rate.
Client releases Provider from liability for reactions arising from undisclosed conditions or allergies. Provider’s total liability is limited to the amount paid for the session in question.
This Agreement is governed by the laws of the State of [State / Jurisdiction].
Provider Signature: _______________________ Date: _______________
Client Signature: _______________________ Date: _______________
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